Marlene Ryback, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003006-1 Issued in NY

Practice address

1670-78 East 17TH Street
3Rd FL.
Brooklyn, NY 11229

Phone

(718) 375-1200

Fax

(718) 382-3358

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Marlene Ackerman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/interborough/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Interborough Developmental and Consultation Center

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1386663904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265504625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293618",
            "telephone_number": "718-336-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670-78 EAST 17TH STREET",
            "address_2": "3RD FL.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-375-1200",
            "fax_number": "718-382-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBACK",
        "first_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003006-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "ACKERMAN",
            "prefix": "MRS.",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Ryan, PMHNP
• Natalie Ryan, LCAT
• Sarah Ryan, PA-C
• William Joseph Ryan, PH.D.
• Hindy Rosalie Ryback
• Rena Ryback
• Debbie Rybak, M.D.
• Leonard Benjamin Rybak, PHARMD
• Shoshana Rybak, PSYD
• Susan Rybak

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.